| Code | Description | Total Paid |
|---|
| V2025 |
Deluxe frame |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
$53K |
| V2020 |
Frames, purchases |
$50K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
$29K |
| 92015 |
Determination of refractive state |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
$3K |
| V2750 |
Anti-reflective coating, per lens |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
$662.81 |